Chinanews.com, Beijing, October 19, "When dealing with pain, we often regard it as a symptom or an accessory to a certain disease. We expect that it will subside with the recovery of the disease, and we will face it. I am accustomed to “bearing forbearance and forbearing”.” Professor Zhang Daying, appointed chairman of the Chinese Medical Association Pain Association and director of the Department of Pain at the First Affiliated Hospital of Nanchang University, recently emphasized that eliminating pain is a basic right of patients, and facing pain must be tens of millions. Don't bear it.
The theme release of World Analgesia Day·China Analgesia Week and the opening ceremony of the China-Japan Hospital Pain Medicine Week·Pain Specialist Consortium Conference was held in Beijing recently.
Academician Han Jisheng of the Chinese Academy of Sciences released this year's theme: "Global Year Against Back Pain".
At the meeting, the China-Japan Hospital was entrusted by the Medical Administration and Management Bureau of the National Health Commission to establish the National Pain Quality Control Center.
The China Pain Health Index was also released here for the first time. The index covers 16 indicators in four areas: disease prevalence, disease burden, diagnosis and treatment status, and discipline construction.
The report shows that Beijing, Shanghai and Zhejiang are currently among the top three in the country.
On the same day, a number of experts jointly issued the "China Health Knowledge Dissemination Incentive Program" project pain prevention and control theme slogan-"Discover pain, recognize pain, solve pain", and jointly called on the public to understand pain and correctly understand pain.
When interpreting the slogan, Professor Zhang Daying pointed out that in 1995, the American Pain Society (APS) proposed that pain is the fifth vital sign after breathing, pulse, blood pressure, and body temperature.
It is the basic right of the patient to eliminate pain. Don't bear the pain.
According to research, more than 70% of patients with pain "tolerate the pain" do not seek medical attention, and only 28% of patients seek medical treatment within 1-10 days of the first pain.
Pain can be divided into acute pain and chronic pain.
Acute pain is pain that occurs suddenly and has a short duration in the near future. It is often a symptom of many diseases and is related to surgery, trauma, tissue damage or certain disease states. Chronic pain lasts for a long time and is often a continuation of acute pain.
Osteoarthritis, neck pain, low back pain, headache, cancer pain, etc., are common chronic pains that seriously affect the quality of life.
In the face of pain, the public has six common cognitive misunderstandings.
Misunderstanding 1: The pain can be tolerated as long as it can be tolerated, and treatment is only needed when it is unbearable.
Experts pointed out that pain must not be tolerated again and again. Once symptoms appear, active and effective treatment measures should be taken.
Chronic pain should be treated as a disease.
Pain can cause a series of pathophysiological changes, affect the patient's mood and mental health, cause sleep disorders, anxiety, irritability, and reduce the degree of coordination with various treatments.
Misunderstanding 2: Pain is not a disease and does not require treatment.
Pain can be a symptom of certain diseases, such as headache and childbirth pain secondary to hypertension, or it can be a painful disease, such as primary trigeminal neuralgia, postherpetic neuralgia, chronic low back Pain etc.
Acute pain is mostly a symptom of certain diseases, while chronic pain is mostly a disease state.
Acute pain is based on the treatment of the cause, and symptomatic treatment is the main treatment. In addition to the symptomatic treatment of chronic pain, comprehensive treatment is required for the cause and pathogenesis of the pain.
For acute pain, it is often a sign of injury or disease in the body, so you must go to the hospital for treatment in time.
For example, abdominal pain caused by acute appendicitis cannot be delayed.
For chronic pain, it will worsen, ease and generalize, causing a vicious cycle, which will further affect sleep, quality of life and psychology.
Misunderstanding 3: "Strike the closure" and "treat the symptoms but not the root cause" cannot solve the fundamental problem.
"Seal" refers to closed therapy, in which local anesthetics or a small amount of hormone drugs are injected into pain points, joint capsules and other tissues.
Local anesthetics can play a rapid analgesic effect, and a small amount of local hormones can exert a powerful anti-inflammatory effect, which can eliminate inflammatory edema, promote inflammation and exudation and absorption, relieve muscle spasm, and improve the metabolism of diseased tissues, so it is closed The therapy not only relieves temporary pain, but also has a therapeutic effect on the disease.
The block therapy uses local anesthetics, not opioids, and is generally not addictive. Although long-term, repeated, and high-dose use of hormones may cause dependence and adverse reactions such as osteoporosis and femoral head necrosis, the block therapy is used every time The hormone dose used is small, so there is no need to worry too much.
Misunderstanding 4: Analgesics are addictive, try not to use them.
The "addiction" that the common people often say may be caused by disease dependence. It is due to physical or disease reasons. Patients really need long-term analgesics. For example, patients with rheumatoid arthritis need long-term hormones.
The medical term "addiction" refers to mental dependence and addiction. It refers to a desire for periodic or continuous medication and compulsive medication behavior in order to obtain satisfaction or avoid discomfort.
Tolerance refers to the body's adaptive response to long-term medication, resulting in a decrease in the effect of the drug, and increasing the dose can still play an analgesic effect.
The most common addictive drugs that ordinary people are afraid of are opioids (including morphine). Drug users are prone to addiction, but addiction to pain patients is rare.
Taking analgesics has significantly improved the pain, and it will recur as soon as the medication is stopped. This situation is often due to the disease itself. For example, some patients with degenerative arthritis or chronic low back pain have recurrent pain.
The application of analgesics, no matter what kind of analgesics, must be applied under the guidance of a doctor.
Myth 5: Analgesics have many side effects, so try not to use them.
Commonly used analgesics in clinical practice include non-steroidal anti-inflammatory drugs, opioid analgesics, anticonvulsants, antidepressants and other types. Different drugs have different mechanisms of action and adverse reactions and cannot be generalized.
The adverse reactions caused by analgesic drugs are not only related to the characteristics of the drug, but also related to the individual's physical fitness, dosage, time of use, and whether there are risk factors for adverse drug reactions.
Therefore, when choosing analgesic drugs, it is necessary to communicate with the doctor about the patient’s usual health, whether there is a history of adverse reactions to analgesic drugs, accompanying diseases and medications, and the doctor will choose the appropriate treatment drugs according to the patient’s condition. Minimize the incidence of adverse reactions.
At present, some analgesic drugs have also carried out genetic testing to predict the risk of adverse reactions of patients taking drugs, in order to reduce the occurrence of adverse reactions.
Misunderstanding 6: It is effective to completely eliminate pain.
Acute pain can be completely relieved after the pathogenic factors are removed. However, chronic pain cannot be cured due to its complicated etiology and requires long-term treatment, such as diabetes, essential hypertension and other chronic diseases.
The purpose of treatment of chronic pain is often symptomatic treatment, pain relief, mood improvement, and quality of life.
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